Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-7317
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
75 S BROADVIEW ST, GREENBRIER, AR 72058-9231
(501) 287-6003
(501) 287-6007
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20772
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206915407
—
AR
01
—
2147800
PK
—
Enumeration date
09/09/2014
Last updated
06/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us